Multiple Choice
Identify the
choice that best completes the statement or answers the question.
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1.
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Pseudodementia is
a. | When signs, symptoms, and behaviors of Alzheimer’s disease (AD) increase during
hours of darkness | b. | The loss of cognitive function that interferes
with routine personal, social, and occupational activities | c. | A false
dementia | d. | A state of temporary but acute mental confusion |
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2.
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A patient is confused. The person’s care plan includes the following
measures. Which should you question?
a. | Give the date and time as needed. | b. | Face the person. Speak
clearly. | c. | State your name and show your name tag. | d. | Provide stimulation
by rearranging the person’s furniture and belongings. |
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3.
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A resident is confused. She thinks her name is “Mary Gold.” What
should you do?
a. | Use the name she prefers. | b. | Use her real name. | c. | Check her ID
bracelet instead of calling her by name. | d. | Tell her that she is not Mary Gold and explain
who she is. |
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4.
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Which is not an early warning sign of dementia?
a. | Recent memory loss that affects job skills | b. | Problems with
language | c. | Hallucinations | d. | Misplacing things and putting things in unusual
places |
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5.
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Which is not an early warning sign of dementia?
a. | Getting lost in familiar places | b. | Personality changes | c. | Poor or decreased
judgment | d. | Not recognizing self or family members |
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6.
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What is the cause of AD?
a. | Family history | b. | Down syndrome | c. | Aging | d. | Unknown |
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7.
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The following occur early in AD except
a. | Problems driving a car | b. | Problems managing money | c. | Problems
cooking | d. | Problems with bowel and bladder control |
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8.
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A person has AD. Which of the following is probably not caused by
AD?
a. | Forgetting names | b. | Cursing or swearing | c. | Poor
judgment | d. | Having a fever |
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9.
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Which statement about wandering is incorrect?
a. | There is always a cause. | b. | The person may be looking for someone or
something. | c. | Drug side effects are possible causes. | d. | Pain, restlessness, and anxiety are possible
causes. |
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10.
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The Alzheimer’s Association has a program for persons who wander. The
program is called
a. | MedicAlert + Safe Return | b. | Take Me Home | c. | Call
Home | d. | Return Home |
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11.
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A resident has AD. She tends to wander. Her care plan includes the following.
Which should you question?
a. | Make sure her ID bracelet is on. | b. | Keep door alarms turned on. | c. | Explain to her why
she cannot go outside. | d. | Let her wander in an enclosed
garden. |
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12.
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A resident has AD. The person thinks the food contains poison. This is
called
a. | A hallucination | b. | A delusion | c. | A catastrophic
reaction | d. | Sundowning |
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13.
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A resident has AD. Sometimes the person is agitated and combative. The person is
pacing and trying to hit others. Which of the following measures will not be helpful?
a. | Restraining the person | b. | Meeting elimination needs | c. | Meeting nutritional
needs | d. | Providing a calm, quiet setting |
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14.
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A resident has AD. She is trying to rub her perineum through her clothes. Which
is incorrect?
a. | The behavior is sexual. | b. | She may be wet or soiled from urine or
feces. | c. | She may have a urinary or reproductive infection. | d. | She may have pain or
discomfort in her urinary or reproductive system. |
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15.
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You care for several persons with AD. Why must you report behavior changes to
the nurse?
a. | They may signal other illnesses or injuries. | b. | Persons with AD
cannot report such changes. | c. | Persons with AD depend on others for
care. | d. | It is your responsibility to report signs and
symptoms. |
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16.
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To protect persons with AD, you need to do the following except
a. | Keep utility room doors unlocked | b. | Prevent fires and burns | c. | Prevent
falls | d. | Place safety plugs in electrical outlets |
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17.
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A nursing center has a secured unit for persons with AD. Which is
correct?
a. | OBRA considers secured units to be physical restraints. | b. | A family’s
request is needed to place a person on a secured unit. | c. | The person remains on the secured unit until
death. | d. | Only persons with aggressive behaviors are allowed on a secured
unit. |
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18.
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A person has AD. The person’s daughter has three children in high school
and college. The daughter is likely to find herself in
a. | Generation X | b. | The “Baby Boom”
generation | c. | Generation Y | d. | The sandwich
generation |
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19.
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Some nursing centers have special care units for persons with AD and other
dementias. Which is incorrect?
a. | Licensing and accrediting agencies have standards for these
units. | b. | Staff must have special training. | c. | The person’s rights are always
protected. | d. | The health team reviews the person’s need for the unit at least twice a
year. |
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